Revenue Integrity Manager

Mercy Medical Center

$68K — $122K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Minimum of three years' experience in revenue integrity, revenue cycle, or health information management within an acute care hospital.
  • Bachelor's Degree required.
  • Proficiency in ICD-10, CPT/HCPCS, and hospital billing compliance processes.
  • Familiar with denial management and payer appeal protocols.
  • Strong attention to detail with excellent analytical and problem-solving abilities.

Responsibilities

  • Identify and resolve charge capture gaps across clinical departments.
  • Investigate billing compliance issues to maintain revenue integrity.
  • Analyze denial trends to implement effective solutions.
  • Collaborate with Finance, Clinical Operations, and Patient Accounting teams.
  • Conduct meetings with departments to enhance charge capture processes.

Benefits

  • Comprehensive health, vision, and dental coverage with wellness credits.
  • Generous 403(b) retirement plan with matching contributions.
  • Paid Time Off (PTO) and company holidays.
  • Tuition reimbursement for career advancement.
  • Access to mental health resources via Employee Assistance Program.
  • Employer-paid Short & Long Term Disability benefits.
  • Voluntary benefits for additional coverage options.
  • Discounts available on auto & home insurance and Verizon services.
  • Recognition program rewarding employees embodying company values.
Full Job Description
Summary

The Revenue Integrity Manager supports Mercy Medical Center's revenue integrity program by identifying, investigating, and resolving charge capture gaps, billing compliance issues, and denial trends across clinical departments. This role works closely with the Senior Director of Revenue Integrity and partners across Finance, Clinical Operations, and Patient Accounting to protect revenue and ensure accurate, compliant billing under Maryland's all-payer regulatory framework. Proactively meets with departments to optimize charge capture.

Responsibilities

The Revenue Integrity Manager supports Mercy Medical Center's revenue integrity program by identifying, investigating, and resolving charge capture gaps, billing compliance issues, and denial trends across clinical departments. This role works closely with the Senior Director of Revenue Integrity and partners across Finance, Clinical Operations, and Patient Accounting to protect revenue and ensure accurate, compliant billing under Maryland's all-payer regulatory framework. Proactively meets with departments to optimize charge capture.

Requirements

  • 3+ years of revenue integrity experience required.
  • Epic experience preferred.
  • Bachelor's Degree required.
  • Working knowledge of ICD-10, CPT/HCPCS, Epic charge and billing workflows, and hospital billing compliance.
  • Familiarity with denial management processes and payer appeal requirements.
  • Detail-oriented with strong analytical and problem-solving skills; comfortable working with billing data and identifying trends.

#LI-BM1

Min

USD $32.77/Hr.

Max

USD $58.99/Hr.

Salary Information

Compensation decisions are made in alignment with internal equity, role scope, and market data to ensure fair and consistent pay practices. Most new hires are typically placed within the lower to mid-portion of the range; offers above that level are reserved for candidates with advanced or highly specialized qualifications.

Benefits

Benefits Eligibility is based on your scheduled FTE status and Job Category
  • Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees
  • 403(b) retirement plan with generous company match and "catch up" provision
  • Paid Time Off (PTO) & company paid holidays
  • Tuition reimbursement
  • Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
  • Employer paid Short & Long Term Disability benefits for eligible employees
  • Voluntary Benefits
  • Discounts on auto & home insurance and Verizon plans
  • Mercy's Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy's Mission and Values

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